Active NPI
Mayra Flores Bolanos
- Home Health Agency
- Bellevue, NE
National Provider Identifier
1912886698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 1408 Fort Crook Rd
3Rd Floor
Bellevue, NE 68005-3061 - Phone
- (402) 347-0007
- NPI assigned
- Aug 28, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1408 Fort Crook Rd
3Rd Floor
Bellevue, NE 68005-3061
Mailing address
1408 Fort Crook Rd
3Rd Floor
Bellevue, NE 68005-3061
Phone (402) 990-2149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1912886698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 FORT CROOK RD",
"address_2": "3RD FLOOR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053061",
"telephone_number": "402-990-2149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 FORT CROOK RD",
"address_2": "3RD FLOOR",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "680053061",
"telephone_number": "402-347-0007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES BOLANOS",
"first_name": "MAYRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-28",
"last_updated": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.